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Does Afib Cause Insomnia

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Change Your Habits Change Your Energy Levels

Does Magnesium Help With AFib? -Doctor AFib

Managing your AFib symptoms is a key to improving processes in your body and boosting your energy levels. You can modify your routine to respect your limitations, helping you to conserve more energy to use throughout the day. And by working to keep your symptoms to a minimum, you can avoid the consequences of a prolonged elevated heart rate.

Move in intervals. When you parcel your activity into shorter stretches, your energy stores can last longer. Try to space out your errands through the course of your day. When you exercise, alternate a few minutes of effort with a few minutes of rest, to better balance your cardio benefits with AFib symptom management.

You might find your energy levels are higher at a certain time of day. Pay attention to those patterns it can help you plan your activities strategically.

Mind your minerals. Many people and AFib patients in particular tend to have low levels of magnesium, which can manifest in a number of ways, like muscle twitches, cramps, and fatigue. Since magnesium is crucial for healthy cells, youll want to make sure your magnesium level is topped up.

The Myth Of Catching Up

Most people believe that their late nights of little sleep can be made up by sleeping extra hours on the weekends. Studies show that this habit can actually lower cardiovascular health even more. Unfortunately, the damage done to the cardiovascular system on Tuesday night was done on Tuesday night, and sleeping in on Saturday is not going to help that situation. In other words, there is no such thing as sleep debt.

Researchers are in agreement that best thing someone can do to protect their heart against the unfortunate correlation between lack of sleep and heightened cardiovascular risks is to get more sleep each and every night.

Modify Your Treatment Plan

Medication can help you manage your AFib, but your dosage needs can change over time. Drugs like beta blockers can cause significant fatigue. Remember that there are different medications to treat AFib and heart disease, and surgical options to consider when medication arent cutting it. Speak to your doctor about catheter ablation or the surgical maze procedure these might be logical next steps to get your heart rhythm under control for the long term, which will reduce your symptoms or even eliminate them altogether.

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Did You Know Sleep Apnea Is Linked To Afib High Blood Pressure Coronary Artery Disease Heart Failure And Sudden Cardiac Death

About half of patients with AFib also have sleep apnea.

Atrial Fibrillation is an abnormal heart rhythm that affects 33.5 million people worldwide. AFib is caused by chaotic electrical signals, which make the upper chambers of the heart quiver, instead of contracting properly. During AFib, blood pools in the atria, which can allow a clot to form. If a blood clot breaks free, it can enter the bloodstream and cause a stroke. People with AFib have a stroke risk that is five times higher than people who do not have AFib.

There are many risk factors for developing AFib. These include being age 60 years of age or older, having high blood pressure, diabetes, or existing heart disease. Another risk factor that is little known and not completely understood is sleep apnea. Only now are health care providers beginning to understand the overlap of these two conditions, and how addressing both can lead to better patient outcomes.

Relationship between AFib and Sleep Apnea

Sleep Apnea And Afib: Whats The Connection

Does Sleep Apnea Cause Afib # ...

    Did you know that about half of the people who have atrial fibrillation also have Obstructive Sleep Apnea ?

    Both conditions have to do with irregularities in continuous systems in the body. Atrial fibrillation is an irregularity in the heartbeat, and sleep apnea is a breathing irregularity that happens during sleep.

    Knowing about the connection can help you understand how to reduce your risk for either of these conditions. It might also help you figure out your course of treatment.

    Well walk you through how sleep apnea and AFib might be linked and what that could mean for you.

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    How Are Heart Attack Symptoms Different From Afib Symptoms

    Fluttering and palpitations are key symptoms of AFib and is the key difference, but many heart problems have similar warning signs. If you think you may be having a heart attack, DONT DELAY. Get emergency help by calling 911 immediately. A heart attack is a blockage of blood flow to the heart, often caused by a clot or build-up of plaque lodging in the coronary artery . A heart attack can damage or destroy part of your heart muscle. Some heart attacks are sudden and intense where no one doubts what’s happening. But most heart attacks start slowly, with mild pain or discomfort. Often people affected aren’t sure what’s wrong and wait too long before getting help.

    Preventing Insomnia Also Good For The Heart

    Among the methods of preventing insomnia are some common recommendations for good heart health. Regular exercise helps you sleep and it also helps your blood pressure, weight and cholesterol level. It should be noted that exercise can be detrimental to good sleep if done too close to bedtime, but an earlier regimen really helps. Exercise should be taken at least three hours before you try to go to sleep. Limiting daytime naps is another highly recommended way of encouraging sleep at night.

    A proper diet is advantageous in sleep and cardiovascular health. Obesity is a common cause of sleep and heart issues. Watching what you eat and drink helps your general health, as well. High caffeine products include coffee and chocolate. Limiting your consumption of both, especially late in the day, will help you sleep. It will also help your weight and blood pressure. Nicotine is obviously bad for your heart, but it also serves as a stimulant that can keep you awake. Thats just one more good reason to stop smoking or using tobacco products, altogether.

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    The Top 10 Atrial Fibrillation Triggers

    A few years back, my good friend, Mellanie True Hills, the founder of the StopAF.org website, teamed up with researchers from the University of California at San Francisco in an effort to better understand atrial fibrillation triggers. What they found in their investigation was that people who are healthier usually have definitive triggers, while people who are less healthy might not even require a trigger to push their heart out of rhythm. They also found that while just about everyone has different triggers, some triggers are far more common than others.

    There an important distinction to make here between causes and triggers. Itimportant to understand both, but the long-term factors that put people atgreater risk of AFib, also known as substrate causes , aren always the samethings that prompt a specific incident of AFib. Here, a wildfire analogy might behelpful: Any spark can trigger a single blaze, but the chances of having lots offires in a season are greatly increased by conditions that accumulate over time,including drought, insect infestation and the growth of underbrush.

    What Triggers Afib During Sleep

    WHY Does AFib Make You Feel TIRED? -Doctor AFib

    Atrial fibrillation has to do with the electrical signals of your heart. Normally, these signals are very regular, making up the reliable heartbeat were all familiar with. But, people with atrial fibrillation experience irregularities or quivers in their heartbeat.

    Some researchers connect nighttime awakening with a disturbance in these electrical signals. If you have sleep apnea, you might wake up several times during the night due to a sudden lack of oxygen. These sudden awakenings cause mechanical stresses and chemical changes in your heart.

    The idea here is that these frequent moments of waking up during sleep might be linked to heart irregularities. Over time, this may contribute to the development of conditions like atrial fibrillation.

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    Side Effects Requiring Immediate Medical Attention

    Along with its needed effects, apixaban may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

    Check with your doctor immediately if any of the following side effects occur while taking apixaban:


    Applies to apixaban: oral tablet

    Q: Im Experiencing Afib At Night Should I Be Worried

    A: Its not uncommon for atrial fibrillation to occur at night. The nerves that control your heart rate typically are in sleep mode, and thats when your resting heart rate drops. Under these conditions, pacemaker activity from areas other than the normal pacemaker in the heart can trigger the onset of AFib.

    Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.Policy

    In addition, many patients with AFib have an underlying issue of obstructive or central sleep apnea. If you are frequently sleepy during the daytime, that is especially likely to be the case. If you suffer from AFib, sleep apnea can disrupt the hearts rhythms. This is a dangerous combination.

    To help treat sleep apnea, your doctor may recommend continuous positive airway pressure or other devices that may help to reduce the frequency and burden of AFib.

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    American Heart Association News Stories

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    What Is A Pulmonary Vein Isolation Procedure Or Pvi

    Can Sleep Apnea Cause Afib #SleepApneaNonCpapSolution Key ...

    Now what actually happens when the patient goes to sleep? In the procedure you will be lying on an X-ray table. The procedure begins by your doctor entering into the veins in your groin with a needle puncture, also called the femoral veins. Typically multiple punctures are needed as there are multiple catheters used during the procedure. Your doctor will then advance the catheters into your heart. In order to perform an ablation for atrial fibrillation, your doctor will need to get into the left atrium, which is the left upper chamber of the heart this is where most peoples atrial fibrillation comes from. In order to get there, your doctor will typically need to do what is called a trans-septal puncture. Basically your doctor will create a very small hole to cross from the right upper chamber to left upper chamber of your heart. This small hole typically heals on its own several weeks after the procedure. In sounds dramatic to describe that your doctor will intentionally create a small hole in your heart, but with proper safety equipment, this is a very routine part of the procedure that only takes a few minutes.

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    What The Experts Do

    Just Say No To TV Binge-Watching

    I have to remind myself, just like my patients, to make sleep a priority,says Johns Hopkins neurologist and sleep specialist Rachel E. Salas, M.D.Its so easy to say, Ill just catch up on some work for awhile or watcha TV-show-a-thon on my DVR.

    She finds that the simple act of telling herself that sleep is importanthelps her choose it over other temptations. Also key for her: Beingconsistent about when she sleeps. I used to think I could make upfor sleep on the weekends, but doing that negatively impacts sleepquality, she says. Now she tries to have a consistent bedtime and wakingtime seven days a week.

    Does Sleeping Position Affect Heart Health

    There is limited evidence linking a persons sleeping position with their overall heart health.

    Some research that focuses on people with congestive heart failure has found that sleeping on your left side may change aspects of heart and lung function.

    Congestive heart failure is a buildup of fluid in the lungs or other parts of the body that occurs when the heart isnt pumping blood effectively. Studies have found that people with congestive heart failure frequently avoid sleeping on their left side, and this effect is greater in people with larger heart dimensions. While the exact reason for this is unknown, it may relate to how this sleeping posture alters positioning of the heart, pressure on the lungs, and/or the sensation of the heart beating against the chest wall.

    While studies have found that people with heart failure often avoid sleeping on their left side, it does not show that this sleeping position causes heart problems. Based on research to date, a persons sleeping position is not considered to be a risk factor for heart disease or other cardiovascular problems.

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    Eric Suni

    Staff Writer

    Eric Suni has over a decade of experience as a science writer and was previously an information specialist for the National Cancer Institute.

    Ealena Callendar


    Dr. Callender is a board-certified obstetrician-gynecologist who has been working in womens health for over a decade.

    Eric Suni

    Staff Writer

    Ealena Callendar


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      Side Effects Of Flecainide

      Along with the desired effects of the medication, some patients may experience side effects. Many times these arent serious, but occasionally you may need to see your doctor to either change or stop the medication.


      Swelling of the feet or lower legs

      You may need to get up slowly when you have been sitting or lying down. You may need to be more careful while doing activities that require alertness when you first start Flecainide.

      If you think you are experiencing any side effects from your medication, even if they arent listed, make sure to notify your doctor.

      Does Insomnia Increase The Risk Of Afib

      Atrial Fibrillation: New Solutions for an Old Problem

      A 2017 study of over 64,000 cases of insomnia found a significant link between insomnia and atrial fibrillation. Their specific hypothesis was based on a causal relation. In other words, they wanted to know whether insomnia was a risk factor for AFib and not just something that happened alongside it.

      They concluded that yes, insomnia did present a significant risk for the development of atrial fibrillation.

      Another study, published in 2018 in Heart Rhythm, went a bit broader. The researchers of this paper found the same insomnia link to AFib, but they also studied sleep quality in general.

      The insomnia portion of the study followed the data of over 14 million Californian residents. It found that people who had a diagnosis of insomnia had a 36% increased risk of developing atrial fibrillation.

      And the general sleep quality portion tracked about 5,700 participants. It found that frequent nighttime awakening predicted a 33% higher risk of AFib. The researchers also connected decreases in rapid eye movement sleep with a higher risk of AFib.

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      Get Your Blood Pressure In A Healthy Range

      “High blood pressure may cause the left atrial pressure to rise and stretch the left atrium, leading to atrial fibrillation,” says Ellis. To keep blood pressure levels steady, avoid the use of stimulant drugs and restrict the salt in your diet. Too much salt can trigger a rapid rise in blood pressure and may trigger an Afib episode.

      Difficulty Sleeping And Palpitations

      Reviewed on 2/19/2021

      Problems with sleeping and the feeling of fluttering in the chest can be related to caffeine use as well as medical conditions including hyperthyroidism, heart rhythm disorders, and others. Panic and anxiety reactions may also produce similar symptoms in some people. Keep a record of your symptoms, and seek the advice of a healthcare provider if you have concerns.

      While the list below can be considered as a guide to educate yourself about these conditions, this is not a substitute for a diagnosis from a health care provider. There are many other medical conditions that also can be associated with your symptoms and signs. Here are a number of those from MedicineNet:

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      Suvorexant In The Context Of Cardiovascular Disease

      Although suvorexant is unlikely to increase blood pressure or heart rate given what is known about orexin pharmacology, it is unknown if suvorexant has adverse effects in CVD because patients with recent or significant CVD were excluded from the trials: acute coronary syndrome, unstable angina, congestive heart failure, cardiogenic syncope, cardiomyopathy, and any symptomatic arrhythmia.7

      Suvorexant did not cause clinically significant prolongation of QTc.5 In a randomized trial , the placebo-adjusted difference for QTc remained under 10 ms with suvorexant doses up to 240 mg.

      In the dose-ranging Phase 2b trial, suvorexant caused dose-dependent increases in cholesterol, but the increases seen in the approved doses were clinically negligible .5

      Suvorexant is mainly metabolized by CYP3A.5 CVD patients on the moderate CYP3A inhibitors diltiazem or verapamil should be started on the suvorexant 5 mg dose and not exceed 10 mg, because diltiazem was found to double suvorexant drug levels. Suvorexant also inhibits intestinal P-gp and increased digoxin concentrations by approximately 25%. Although digoxin dose does not need to be adjusted, monitoring of digoxin levels is recommended with suvorexant coadministration. Suvorexant did not significantly impact warfarin exposure, although because suvorexant also inhibits CYP3A, monitoring INR is advised since anticoagulant use was excluded from clinical trials.

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